| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,150 |
5,378 |
$326K |
| 80305 |
|
5,288 |
3,716 |
$48K |
| 99215 |
Prolong outpt/office vis |
368 |
319 |
$22K |
| 99205 |
Prolong outpt/office vis |
50 |
41 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
68 |
$2K |
| 99000 |
|
350 |
279 |
$1K |
| 0012A |
|
25 |
22 |
$725.04 |
| 0011A |
|
33 |
28 |
$391.06 |
| 90688 |
|
19 |
14 |
$215.80 |
| 90686 |
|
12 |
12 |
$174.26 |
| 96127 |
|
22 |
14 |
$43.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
201 |
167 |
$31.00 |
| 91301 |
|
85 |
73 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
18 |
$0.00 |
| 99406 |
|
17 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
58 |
43 |
$0.00 |